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Atelectasias redondas nodulares: apariencia en tomografía computarizada y resonancia magnética
Rounded nodular atelectasis: CT and NMR features
J. Galant, L. Martí-Bonmatí1, M. Domingo, J. Vilar, D. Ferrer, J. Martínez-Rodrigo, E. Lonjedo
Departamento de Diagnóstico por Imagen, Hospital Doctor Peset. Valencia
A. Piquer*
* Servicio de Neumología. Hospital Doctor Peset. Valencia
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    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Rounded nodular atelectasis&#58; CT and NMR features"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "1993-12-02"
    "fechaAceptado" => "1994-04-19"
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          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec569893"
          "palabras" => array:4 [
            0 => "Atelectasia redonda"
            1 => "Diagn&#243;stico atelectasias"
            2 => "Tomograf&#237;a computarizada"
            3 => "Resonancia magn&#233;tica"
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          "clase" => "keyword"
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            0 => "Atelectasis rounded diagnosis"
            1 => "Computerized tomography"
            2 => "Magnetic resonance"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las atelectasias redondas son formas no usuales de colapso pulmonar que por su apariencia radiol&#243;gica pueden ser confundidas con patolog&#237;a tumoral&#44; especialmente las formas nodulares&#46; Hemos estudiado 14 casos de estas lesiones mediante tomograf&#237;a axial computarizada &#40;TAC&#41;&#46; En tomograf&#237;a computarizada&#44; todas las lesiones estudiadas mostraron morfolog&#237;a redondeada&#44; y localizaci&#243;n subpleural&#44; y la pleura visceral se encontr&#243; engrosada&#46; El signo radiol&#243;gico que m&#225;s ayud&#243; al diagn&#243;stico fue el arqueamiento de los vasos pr&#243;ximos hacia la lesi&#243;n&#44; que estuvo presente en todos nuestros casos&#46; Otros signos radiol&#243;gicos como hiperlucencia del par&#233;nquima pulmonar circundante&#44; p&#233;rdida de volumen del l&#243;bulo afectado y broncograma a&#233;reo se encontraron en 10&#44; 7 y 7 pacientes&#44; respectivamente&#46; Cuando la apariencia radiol&#243;gica es caracter&#237;stica recomendamos no realizar ning&#250;n estudio diagn&#243;stico adicional&#46; Tres de estas lesiones fueron estudiadas adem&#225;s mediante resonancia magn&#233;tica &#40;RM&#41; que en 2 casos mostr&#243; l&#237;neas curvas hipointensas caracter&#237;sticas en todas las secuencias&#46; La habilidad de la tomograf&#237;a computarizada para el diagn&#243;stico de esta entidad relega a la resonancia magn&#233;tica a un segundo plano&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Rounded atelectasis is a rare form of lung collapse whose <span class="elsevierStyleSmallCaps">X</span>-ray appearance can be confused with that of tumors&#44; especially nodular forms&#46; We studied 14 such lesions with computerized tomography&#44; finding that all were rounded and subpleural&#44; specifically in the thickened pleura visceralis&#46; The radiological sign that was most useful for diagnosis was the are of the proximal vessels in the direction of the lesi&#243;n&#46; Such an are was present in all the cases we reviewed&#46; Other radiological signs such as brightness of the surrounding parenchyma&#44; loss of volume in the affected lobe and the presence of air bronchogram were found in 10&#44; 7 and 7 patients&#44; respectively&#46; When the <span class="elsevierStyleSmallCaps">X</span>-ray appearance clearly indicates a diagnosis of rounded nodular atelectasis&#44; we recommend that no additional diagnostic procedure be made&#46; Three lesions in our sample were studied by magnetic resonance&#44; which revealed the characteristic hypointense curves in all sequences done on 2 patients&#46; The usefulness of computerized tomography in the diagnosis of this entity relegates magnetic resonance to a second plane&#46;</p></span>"
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Article information
ISSN: 03002896
Original language: Spanish
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